Individual
MARCUS KIM BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3723 W 12600 S STE 330, RIVERTON, UT 84065-7309
(801) 285-4543
(801) 285-4540
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 285-4543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7148440-1205
UT
Other
Enumeration date
11/06/2008
Last updated
06/08/2026
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